BOYD BENNETT GASQUE JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143106

License Status

NOT RENEWED

Business

Title

First Name

BOYD

Middle

BENNETT

Last Name

GASQUE

Suffix

Business Name

BOYD BENNETT GASQUE JR MD

Original Issue Date

05/01/2017

Effective Date

05/01/2017

Expiration Date

09/30/2020

City

OCEAN ISLE BEACH

State

Zip

28469

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

01/14/2021